Vitavia Llc

NPI 1821009697 - Internal Medicine - 207RN0300X

NPI Details
NPI 1821009697
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CAROL CAROL
Position DIRECTOR
Phone (000) 000-0000
Fax (000) 000-0000
Practice Location
700 E BROADWAY BLVD
SUITE 100
TUCSON AZ, 85719-5724, US
Phone (000) 000-0000
Fax (000) 000-0000
Business Location
3003 N CENTRAL AVE
SUITE 400
PHOENIX AZ, 85012-2902, US
Phone (602) 997-1098
Fax (602) 943-1453
Toxanomy
Taxonomy Code 207RN0300X
License State
License Number
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According to our database, Vitavia Llc NPI is 1821009697, taxonomy code is 207RN0300X Vitavia Llc physically located at 700 E Broadway Blvd, Tucson AZ, 85719-5724. NPI Number 1033115704 has the healthcare provider type.

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1821009697 NPI number is provided on an as is basis without warranty of any kind. 1821009697 is maintained by the National Plan & Provider Enumeration System. The contents of Vitavia Llc are for informational purposes only.